Individual
DR. RUSSELL TRAPNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2010 WYOMING BLVD NE STE G, ALBUQUERQUE, NM 87112-2679
(505) 296-0761
(505) 296-7543
Mailing address
2010 WYOMING BLVD NE STE G, ALBUQUERQUE, NM 87112-2679
(505) 296-0761
(505) 296-7543
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
9183
CO
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DD3190
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09328874
—
CO
Enumeration date
05/02/2007
Last updated
11/29/2022
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